Retroperitoneal ectopic pregnancy: a case report and review of the literature

BMC Pregnancy and Childbirth

Case Report

Man Yang¹  Lamu Cidan¹  Dan Zhang¹ 

[1] Section of Reproductive Endocrinology, Department of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, No. 20 Section 3 of South Renmin Road, 610041, Chengdu, Sichuan Province, China;

关键词: Case report;    Ectopic pregnancy;    Retroperitoneal ectopic pregnancy;    Laparoscopy;   

DOI  :  10.1186/s12884-017-1542-y

 received in 2016-12-20, accepted in 2017-10-08,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundRetroperitoneal ectopic pregnancy (REP) is an extremely rare type of ectopic pregnancy, with a total of less than 20 cases reported in the English literature. However, failure to recognize REP may result in severe consequences.Case presentationWe report a case of 32-year-old woman with REP. She had amenorrhea, left lower abdominal pain, but no vaginal bleeding. Her urine human chorionic gonadotropin (HCG) test was positive and blood HCG level was 1880 m-international units per milliliter (mIU/mL). Transvaginal ultrasound sonography showed a left adnexal mass. Laparoscopy found an enlarged uterus, normal right uterine tube and ovary, and normal left uterine tube. The left ovary was partly covered by a blood clot, but appeared normal after removing the clot. There was a 10-mm circular peritoneal defect located lateral to the left sacrocervical ligament, anterior to the left ovarian fossa, and next to the lower edge of the left broad ligament. The patient was diagnosed of having REP with the gestational tissues covered by the peritoneum. The REP was removed by laparoscopic surgery. Bleeding was stopped by bipolar coagulation and absorbable hemostatic cellulose. The patient recovered smoothly and was discharged on the next day after surgery. Her blood HCG returned to normal range 29 days after surgery.ConclusionsREP is very rare, but in any suspected case of ectopic pregnancy, caution must be paid to find signs of REP when the common sites of ectopic pregnancy do not have any positive findings.

【 授权许可】

CC BY   
© The Author(s). 2017